This is a walk through of the ViewRay MRIdian MRI-guided radiotherapy system installed at Henry Ford Medical Center — Cottage. The system has been in service for about two years. The walk through shows the entry way into the vault and the warnings about entering an MRI environment. Anyone who enters the treatment room must undergo a metal detector scan first to make sure all ferrous metal is removed.

This is a quick look inside the magnetic resonance imaging (MRI) neuro-interventional suite at Henry Ford Hospital in Detriot, Mich. This neuro-procedure room connects through a door to a traditional operating room and the patient can be transferred using a trolley cot system to move between the two rooms. The MRI is a Philips 1.5T Achieva and the MRI suite includes MRI-safe surgical instruments, furniture and anesthesia system.

This is a quick walk-around video showing the Siemens Healthineers Multix Impact digital radiography (DR) room X-ray system at RSNA 2018. The system offers an intuitive operating system to help improve productivity. The in-room touch user interface on the tube allows the technologist to remain at the patient’s side. And when unable to be at the patient’s side, the technologist is able to monitor and optimize positioning from the control room via the system’s patient positioning camera, potentially reducing repeat imaging and unnecessary patient dose. Lights at the top of the X-ray system automatically indicate it the patient anatomy is aligned properly with the exam type the technologist chose for optimal imaging to reduce the need for retakes.

The Multix Impact also offers an intuitive user interface and graphical organ program selection. The positioning guide display on both the in-room touch user interface and the workstation supports precise, consistent patient positioning. Advanced motorization and tracking reduce the physical exertion of technologists and help prevent repetitive stress injuries.

This is an example of how virtual reality is being used in neuro-radiology to better evaluate patients using advanced imaging. This dataset shows a patient's brain MRI with fused tractography imaging for pre-operative planning. This was part of a 2018 Radiological Society of North America (RSNA) hands-on session by Vinodh Kumar, M.D., and Komal Shah, M.D., associate professors of radiology at MD Anderson Cancer Center.

At ASTRO 2018, Accuray showcased new patient-first innovations, including motion synchronization on Radixact, and the new CK VoLO, a fast optimizer on the CyberKnife system. Andrew Delao, senior director of marketing for Accuray, highlights the new features.

Dee Dee Wang, M.D., director of structural heart imaging, Henry Ford Hospital, Detroit, Mich., explains how patient survival depends on keeping the left ventricular outflow track (LVOT) clear and using 3-D imaging to predict what the neo-LVOT will look like prior to transcatheter mitral valve replacement (TMVR) procedures. The close proximity between the aortic and mitral valves in the left ventricle anatomy makes it critical to assess any mitral valve overhang that will obstruct blood flow out of the left ventricle. This issue has been raised in several cardiovascular imaging structural heart intervention planning sessions at conferences over the past two years, most notably at the Society of Cardiovascular Computed Tomography (SCCT).

CarolinaEast Health System, an award-winning health system in New Bern, N.C., was one of the first to collaborate with Philips to implement IntelliSpace Enterprise Edition, a comprehensive managed service. Watch the video to see how we collaborated together to streamline workflows and improve interoperability for better care.

At ASTRO 2018, Accuray showcased new patient-first innovations, including motion synchronization on Radixact, and the new CK VoLO, a fast optimizer on the CyberKnife system. Andrew Delao, senior director of marketing for Accuray, highlights the new features.

CarolinaEast Health System, an award-winning health system in New Bern, N.C., was one of the first to collaborate with Philips to implement IntelliSpace Enterprise Edition, a comprehensive managed service. Watch the video to see how we collaborated together to streamline workflows and improve interoperability for better care.

With Intellispace Enterprise Edition as the foundation, Philips Healthcare is connecting facilities and service areas within enterprises, while developing standards-based interoperability that preserves customers' investments and best of breed systems.

Vital Images has developed a strategy that allows its customers to capture revenues that are otherwise missed while building the infrastructure for the future. In an interview with itnTV, Vital Images executives Larry Sitka and Geoffrey Clemmons describe how the company has reconciled this vision of the future with near-term realities.

At RSNA 2018, GE launched a new brand that covers AI. The company showed several works-in-progress -- a critical care suite of algorithms and experimental applications for brain MR. Each is being built on GE's Edison Platform.

GE Healthcare Centricity Clinical Archive (CCA) Analytics, shown at RSNA 2018, works directly with the vendor neutral archive (VNA), allowing users to evaluate clinical, financial and operational processes across the healthcare system. The analytics solution shows how all of the different components of the archive and all of the imaging sources — departments, facilities and modalities — are working across the enterprise.

Radiation therapy has become increasingly effective and safe as vendors continue to innovate technologies that benefit the patient. At ASTRO 2018, this patient-centric approach was exemplified and demonstrated not only in ways that match treatments to patients, but in how technologies can adjust to patient movement and anatomical changes, and to increase the precision of treatments. ITN Contributing Editor Greg Freiherr showcases several new technologies that are helping to advance this field.

ITN Contributing Editor Greg Freiherr offers an overview of artificial intelligence advances at the Radiological Society of North America (RSNA) 2017 annual meeting. AI was by far the hottest topic in sessions and on the expo floor at RSNA 2017. Here are links to related deep learning, machine learning coverage:

Contributing Editor Greg Freiherr offers an overview of computed tomography (CT) advances at the Radiological Society of North America (RSNA) 2015. The video includes Freiherr during his booth tours with some of the key vendors who were featuring new technology.

This is a quick walk-around video showing the Siemens Healthineers Multix Impact digital radiography (DR) room X-ray system at RSNA 2018. The system offers an intuitive operating system to help improve productivity. The in-room touch user interface on the tube allows the technologist to remain at the patient’s side. And when unable to be at the patient’s side, the technologist is able to monitor and optimize positioning from the control room via the system’s patient positioning camera, potentially reducing repeat imaging and unnecessary patient dose. Lights at the top of the X-ray system automatically indicate it the patient anatomy is aligned properly with the exam type the technologist chose for optimal imaging to reduce the need for retakes.

The Multix Impact also offers an intuitive user interface and graphical organ program selection. The positioning guide display on both the in-room touch user interface and the workstation supports precise, consistent patient positioning. Advanced motorization and tracking reduce the physical exertion of technologists and help prevent repetitive stress injuries.

This is an example of how virtual reality is being used in neuro-radiology to better evaluate patients using advanced imaging. This dataset shows a patient's brain MRI with fused tractography imaging for pre-operative planning. This was part of a 2018 Radiological Society of North America (RSNA) hands-on session by Vinodh Kumar, M.D., and Komal Shah, M.D., associate professors of radiology at MD Anderson Cancer Center.

At ASTRO 2018, Accuray showcased new patient-first innovations, including motion synchronization on Radixact, and the new CK VoLO, a fast optimizer on the CyberKnife system. Andrew Delao, senior director of marketing for Accuray, highlights the new features.

With Intellispace Enterprise Edition as the foundation, Philips Healthcare is connecting facilities and service areas within enterprises, while developing standards-based interoperability that preserves customers' investments and best of breed systems.

Vital Images has developed a strategy that allows its customers to capture revenues that are otherwise missed while building the infrastructure for the future. In an interview with itnTV, Vital Images executives Larry Sitka and Geoffrey Clemmons describe how the company has reconciled this vision of the future with near-term realities.

This is a walk through of the ViewRay MRIdian MRI-guided radiotherapy system installed at Henry Ford Medical Center — Cottage. The system has been in service for about two years. The walk through shows the entry way into the vault and the warnings about entering an MRI environment. Anyone who enters the treatment room must undergo a metal detector scan first to make sure all ferrous metal is removed.

At ASTRO 2018, Accuray showcased new patient-first innovations, including motion synchronization on Radixact, and the new CK VoLO, a fast optimizer on the CyberKnife system. Andrew Delao, senior director of marketing for Accuray, highlights the new features.

Here is an example of new artificial intelligence (AI) driven health information systems that aim to improve efficiency, speed workflow and make finding relevant patient data fast. This is the Philips Intellispace Oncology software displayed at the Healthcare Information Management and Systems Society (HIMSS) 2019 meeting. This dash board page for a cancer patient offers a great overview on a single screen so physicians do not have to do a lot of clicking around to find what they need.

The top of the screen has a timeline showing all patient encounters related to their cancer, including imaging exams, labs, pathology, procedures, etc. All are clickable and show a small pop-up box with a key image and brief description, and a link to the full set of images and the full report. Other boxes on the screen help organize the relevant patient data into easily digestible bits with links to full reports or areas of the patient record. An analytics button at the bottom of the page opens a window showing charts for things like tumor follow-up assessments to quickly show if the patient is responding to treatment.

This is a walk through of the ViewRay MRIdian MRI-guided radiotherapy system installed at Henry Ford Medical Center — Cottage. The system has been in service for about two years. The walk through shows the entry way into the vault and the warnings about entering an MRI environment. Anyone who enters the treatment room must undergo a metal detector scan first to make sure all ferrous metal is removed.

This is a quick look inside the magnetic resonance imaging (MRI) neuro-interventional suite at Henry Ford Hospital in Detriot, Mich. This neuro-procedure room connects through a door to a traditional operating room and the patient can be transferred using a trolley cot system to move between the two rooms. The MRI is a Philips 1.5T Achieva and the MRI suite includes MRI-safe surgical instruments, furniture and anesthesia system.

This is a quick walk-around video showing the Siemens Healthineers Multix Impact digital radiography (DR) room X-ray system at RSNA 2018. The system offers an intuitive operating system to help improve productivity. The in-room touch user interface on the tube allows the technologist to remain at the patient’s side. And when unable to be at the patient’s side, the technologist is able to monitor and optimize positioning from the control room via the system’s patient positioning camera, potentially reducing repeat imaging and unnecessary patient dose. Lights at the top of the X-ray system automatically indicate it the patient anatomy is aligned properly with the exam type the technologist chose for optimal imaging to reduce the need for retakes.

The Multix Impact also offers an intuitive user interface and graphical organ program selection. The positioning guide display on both the in-room touch user interface and the workstation supports precise, consistent patient positioning. Advanced motorization and tracking reduce the physical exertion of technologists and help prevent repetitive stress injuries.

This is an example of how virtual reality is being used in neuro-radiology to better evaluate patients using advanced imaging. This dataset shows a patient's brain MRI with fused tractography imaging for pre-operative planning. This was part of a 2018 Radiological Society of North America (RSNA) hands-on session by Vinodh Kumar, M.D., and Komal Shah, M.D., associate professors of radiology at MD Anderson Cancer Center.

Dee Dee Wang, M.D., director of structural heart imaging, Henry Ford Hospital, Detroit, Mich., explains how patient survival depends on keeping the left ventricular outflow track (LVOT) clear and using 3-D imaging to predict what the neo-LVOT will look like prior to transcatheter mitral valve replacement (TMVR) procedures. The close proximity between the aortic and mitral valves in the left ventricle anatomy makes it critical to assess any mitral valve overhang that will obstruct blood flow out of the left ventricle. This issue has been raised in several cardiovascular imaging structural heart intervention planning sessions at conferences over the past two years, most notably at the Society of Cardiovascular Computed Tomography (SCCT).

This is a walk around of an innovative new SPECT-CT nuclear imaging system shown at the Radiological Society Of North America (RSNA) 2018 meeting this week. It's CT system with comes in 16, 64 or 128 slice configurations. It has 12 SPECT detector robotic arms that automatically move toward the patient and use a sensor to stop a few millimeters from the skin to optimize photon counts and SPECT image quality. It also uses more sensitive CZT digital detectors, which allows either faster scan times, or use of only half the radiotracer dose of analog detector scans.

Prem Soman, M.D., director of nuclear cardiology at the Heart and Vascular Institute, University of Pittsburgh, and president-elect of the American Society of Nuclear Cardiology (ASNC), explained advances in PET and SPECT imaging and the learning curve involved in reading scans from the new CZT SPECT cameras. Watch the VIDEO: Trends in Nuclear Cardiology Imaging, an iknterview with David Wolinsky, M.D., director of nuclear cardiology at Cleveland Clinic Florida. Read the related article "Advances in Cardiac Nuclear Imaging."

Kim A. Williams, Sr., M.D., chief of cardiology at Rush University Medical Center, Chicago and former president of both the American College of Cardiology (ACC) and the American Society of Nuclear Cardiology (ASNC), explains the impact of healthcare reform on cardiology and specifically on nuclear perfusion imaging.

David Wolinsky, M.D., director of nuclear cardiology at Cleveland Clinic Florida and past-president of the American Society of Nuclear Cardiology (ASNC), discusses advancements in nuclear imaging and some of the issues facing the subspecialty.

This is an example of how virtual reality is being used in neuro-radiology to better evaluate patients using advanced imaging. This dataset shows a patient's brain MRI with fused tractography imaging for pre-operative planning. This was part of a 2018 Radiological Society of North America (RSNA) hands-on session by Vinodh Kumar, M.D., and Komal Shah, M.D., associate professors of radiology at MD Anderson Cancer Center.

Dee Dee Wang, M.D., director of structural heart imaging, Henry Ford Hospital, Detroit, Mich., explains how patient survival depends on keeping the left ventricular outflow track (LVOT) clear and using 3-D imaging to predict what the neo-LVOT will look like prior to transcatheter mitral valve replacement (TMVR) procedures. The close proximity between the aortic and mitral valves in the left ventricle anatomy makes it critical to assess any mitral valve overhang that will obstruct blood flow out of the left ventricle. This issue has been raised in several cardiovascular imaging structural heart intervention planning sessions at conferences over the past two years, most notably at the Society of Cardiovascular Computed Tomography (SCCT).

CarolinaEast Health System, an award-winning health system in New Bern, N.C., was one of the first to collaborate with Philips to implement IntelliSpace Enterprise Edition, a comprehensive managed service. Watch the video to see how we collaborated together to streamline workflows and improve interoperability for better care.

With Intellispace Enterprise Edition as the foundation, Philips Healthcare is connecting facilities and service areas within enterprises, while developing standards-based interoperability that preserves customers' investments and best of breed systems.

Vital Images has developed a strategy that allows its customers to capture revenues that are otherwise missed while building the infrastructure for the future. In an interview with itnTV, Vital Images executives Larry Sitka and Geoffrey Clemmons describe how the company has reconciled this vision of the future with near-term realities.

Paul Chang, M.D., professor of radiology, vice chair of radiology informatics and medical director for enterprise imaging, University of Chicago, explains some of the issues with artificial intelligence (AI) and how hospitals can better prepare for its eventual implementation across the field of medicine. A key takeaway is that hospitals need an infrastructure and roadway for AI and deep-learning algorithms to operate. Chang said most health systems will not invest directly in AI, but will invest in analytics, which Chang said uses much of the same infrastructure required by AI.

ITN Editor Dave Fornell takes a tour of some of the most interesting new medical imaging technologies displayed on the expo floor at the 2018 Radiological Society of North America (RSNA) meeting. The video includes new technologies for fetal ultrasound, CT, MRI, mobile DR X-ray, a new generation of fluoroscopy systems, MRI contrast mapping to better identify tumors, and a new technique to create moving X-ray images from standard DR imaging.